Use of omental pedicle grafts in abdominoperineal resection.
Use of omental pedicle grafts in abdominoperineal resection.
复制标题
大网膜蒂移植物在腹会阴切除术中的应用。
DOI：
--
复制
发表时间：
1990
期刊：
影响因子：
--
通讯作者：
C. Ferguson
中科院分区：
文献类型：
--
作者：
C. Ferguson
腹会阴联合切除术后，骨盆腔的空腔被小肠袢填满，小肠袢可能固定并引起梗阻。在需要辅助放射治疗的患者中，这种固定在骨盆中的肠袢可能使患者易于发生放射性肠炎。建议的预防骨盆内小肠固定袢的方法包括腹膜下引流闭合骨盆腹膜，将膀胱固定到骶骨，子宫后倾，放置假体网片，以及在骨盆腔放置网膜蒂移植物。带蒂大网膜移植物具有操作简便、使用自体组织和用血管化组织填充盆腔空腔的优点，可降低术后盆腔脓肿的风险。本研究回顾了在我们最初的8例患者中，网膜蒂移植物闭合骨盆的技术和结果。在格鲁吉亚亚特兰大市格雷迪纪念医院，带蒂大网膜移植已成为腹会阴切除术后骨盆重建的首选方法。
Following abdominoperineal resection, the empty space of the pelvic hollow is filled by loops of small intestine, which may become fixed and cause obstruction. In patients who require adjuvant radiotherapy, such loops of intestine fixed in the pelvis may predispose the patient to radiation enteritis. Proposed methods to prevent such fixed loops of small intestine in the pelvis include closure of the pelvic peritoneum with subperitoneal drainage, fixation of the bladder to the sacrum, retroversion of the uterus, placement of prosthetic mesh, and placement of an omental pedicle graft in the pelvic hollow. The omental pedicle graft has the advantages of ease of performance, use of autologous tissue, and filling the pelvic hollow with vascularized tissue, which should decrease the risk of postoperative pelvic abscess. This study reviews the technique of omental pedicle graft closure of the pelvis and the results of it in our initial eight patients. The omental pedicle graft has become the preferred method of pelvic reconstruction following abdominoperineal resection at Grady Memorial Hospital, Atlanta, Georgia.